Independence Rehab Llc in Grandville - Physical Therapy
Independence Rehab Llc - NPI 1427184589
Independence Rehab Llc is a Physical Therapy in Grandville, Michigan. Independence Rehab Llc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Independence Rehab Llc is 1427184589. The last update date is 2008-02-12.
Independence Rehab Llc's current location address is 3753 Basswood Dr Sw, Grandville, Michigan. You can contact this provider via phone number 6163406407 and fax number 6163012882. The mailing address for Independence Rehab Llc is 3753 Basswood Dr Sw, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independence Rehab Llc |
|---|---|
| Address | 3753 Basswood Dr Sw, Grandville, Michigan |
| Phone Number | 6163406407 |
| Fax Number | 6163012882 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Randall Christophe Kirk |
| Credentials | P.T. |
| Telephone Number | 6163406407 |
NPI Number Detail
| NPI Number | 1427184589 |
|---|---|
| Provider Enumeration Date | 2007-02-25 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 3753 Basswood Dr Sw |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 494182003 |
| Phone Number | 6163406407 |
| Fax Number | 6163012882 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | 5501005678 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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What is the unique 10-digit identification code issued to Independence Rehab Llc by the Centers for Medicare & Medicaid Services?
The Independence Rehab Llc has been assigned the NPI (National Provider Identifier) 1427184589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Independence Rehab Llc's physical address?
The Independence Rehab Llc is physically located at 3753 Basswood Dr Sw, in the city of Grandville, MI, with the postal code 494182003.
What is the area of specialization for Independence Rehab Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Independence Rehab Llc is Physical Therapy, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2000X.
When did the Independence Rehab Llc receive its 1427184589?
The Independence Rehab Llc was issued its 1427184589 on 2007-02-25, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Independence Rehab Llc last refreshed?
The information related to the Independence Rehab Llc, including its address, specialty, and other relevant details, was last updated on 2008-02-12.